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Psychomotor performance and sequence planning in anorexia nervosa before and after weight restoration

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Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity Aims and scope Submit manuscript

Abstract

Background: In the study of psychomotor performance in anorexia nervosa (AN), motor control has not been studied extensively. The present study explores sequence planning in a sample of AN patients. Method: A group of 26 female restricting AN inpatients, aged 14 to 25, was compared with 24 healthy women matched for age and educational level. During the performance of a simple copying task, in which movement planning, but not working capacity, was challenged, the ease with which generally favored graphic production rules could be applied was manipulated. Computerized recordings of the drawing movements allowed detailed analyses of reaction and movement times and of drawing sequences. Fifteen patients were retested after weight restoration, as were 15 controls. Results: Copying patterns that normally elicit a conflict between preferred graphic production rules induced significantly less slowing in the reaction times of the anorexia nervosa patients than in the controls, both before and after weight restoration. There were no group differences as regards the consistency with which the implicit production rules were applied. Discussion: AN patients seem to show a fast response style combined with good sequence planning capacity.

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References

  1. Keele S.: Motor control. In: Boff J.K., Kaufman L., Thomas J.P. (Eds.), Handbook of human perception and performance. Vol. II. New York, Wiley & Sons, 1986, pp. 1–60.

    Google Scholar 

  2. Rosenbaum D.A., Meulenbroek R.J., Vaughan J., Jansen C.: Posture-based motion planning: Applications to grasping. Psychol. Rev., 108, 709–734, 2001.

    Article  PubMed  CAS  Google Scholar 

  3. Rosenbaum D.A.: Cinderella after the ball. Am. Psychol., 61, 78–79, 2006.

    Article  PubMed  Google Scholar 

  4. Van Galen G.P., Thomassen A.J., Wing A.M.: Handwriting — A movement theme. Hum. Mov. Sci., 10, 163–164, 1991.

    Article  Google Scholar 

  5. Willingham D.T.: A neuropsychological theory of motor skill learning. Psychol. Rev., 105, 558–584, 1998.

    Article  PubMed  CAS  Google Scholar 

  6. Willingham DT.: Cognition. The thinking animal. 2nd ed. Upper Saddle River, New Jersey, Pearson Prentice Hall, 2004.

    Google Scholar 

  7. Casper R.C.: The ‘drive for activity’ and “restlessness” in anorexia nervosa: Potential pathways. J. Affect. Disord., 92, 99–107, 2006.

    Article  PubMed  Google Scholar 

  8. Duchesne M., Mattos P., Fontenelle L.F., Veiga H., Rizo L., Appolinario J.C.: Neuropsychology of eating disorders: a systematic review of the literature. Rev. Bras. Psiquiatr., 26, 107–117, 2004.

    Article  PubMed  Google Scholar 

  9. Lauer C.J.: Neuropsychological findings in eating disorders. In: D’haenen H., den Boer J.A., Willner P. (Eds.), Biological psychiatry. New York, John Wiley & Sons, 2002, pp. 1167–1172.

    Chapter  Google Scholar 

  10. Lena S.M., Fiocco A.J., Leyenaar J.K.: The role of cognitive deficits in the development of eating disorders. Neuropsychol. Rev., 14, 99–113, 2004.

    Google Scholar 

  11. Tchanturia K., Campbell I.C., Morris R.G., Treasure J.: Neuropsychological studies in anorexia nervosa. Int. J. Eat. Disord., 37, Suppl., S72–S76, 2005.

    Article  PubMed  Google Scholar 

  12. Bowers W.A.: Neuropsychological impairment among anorexia nervosa and bulimia patients. Eating Disorders: The Journal of Treatment and Prevention, 2, 42–46, 1994.

    Article  Google Scholar 

  13. Fassino S., Piero A., Daga G.A., Leombruni P., Mortara P., Rovera G.G.: Attentional biases and frontal functioning in anorexia nervosa. Int. J. Eat. Disord., 31, 274–283, 2002.

    Article  PubMed  Google Scholar 

  14. Fox C.F.: Neuropsychological correlations of anorexia nervosa. Int. J. Psychiatry Med., 11, 285–290, 1981.

    Article  PubMed  CAS  Google Scholar 

  15. Jones B.P., Duncan C.C., Brouwers P., Mirsky A.F.: Cognition in eating disorders. J. Clin. Exp. Neuropsychol., 13, 711–728, 1991.

    Article  PubMed  CAS  Google Scholar 

  16. Lauer C.J., Gorzewski B., Gerlinghoff M., Backmund H., Zihl J.: Neuropsychological assessments before and after treatment in patients with anorexia nervosa and bulimia nervosa. J. Psychiatr. Res., 33, 129–138, 1999.

    Article  PubMed  CAS  Google Scholar 

  17. Lawrence A.D., Dowson J., Foxall G.L., Summerfield R., Robbins T.W., Sahakian B.J.: Impaired visual discrimination learning in anorexia nervosa. Appetite, 40, 85–89, 2003.

    Article  PubMed  Google Scholar 

  18. Tchanturia K., Morris R.G., Surguladze S., Treasure J.: An examination of perceptual and cognitive set shifting tasks in acute anorexia nervosa and following recovery. Eat. Weight Disord., 7, 312–315, 2002.

    Article  PubMed  CAS  Google Scholar 

  19. Tchanturia K., Anderluh M.B., Morris R.G., Rabe- Hesketh S., Collier D.A., Sanchez P., Treasure J.: Cognitive flexibility in anorexia nervosa and bulimia nervosa. J. Int. Neuropsychol. Soc., 10, 513–520, 2004.

    Article  PubMed  Google Scholar 

  20. Tchanturia K., Morris R.G., Anderluh M.B., Collier D.A,. Nikolaou V., Treasure J.: Set shifting in anorexia nervosa: an examination before and after weight gain, in full recovery and relationship to childhood and adult OCPD traits. J. Psychiatr. Res., 38, 545–552, 2004.

    Article  PubMed  CAS  Google Scholar 

  21. Kaye W.H., Bastiani A.M., Moss H.: Cognitive style of patients with anorexia nervosa and bulimia nervosa. Int. J. Eat. Dis., 18, 287–290, 1995.

    Article  CAS  Google Scholar 

  22. Toner B.B., Garfinkel P.E., Garner D.M.: Cognitive style of patients with bulimic and diet-restricting anorexia nervosa. Am. J. Psychiatry, 144, 510–512, 1987.

    PubMed  CAS  Google Scholar 

  23. Jones B.P., Duncan C.C., Brouwers P., Mirsky A.F.: Cognition in eating disorders. J. Clin. Exp. Neuropsychol., 13, 711–728, 1991.

    Article  PubMed  CAS  Google Scholar 

  24. Kingston K., Szmukler G., Andrewes D., Tress B., Desmond P.: Neuropsychological and structural brain changes in anorexia nervosa before and after refeeding. Psychol. Med., 26, 15–28 1996.

    Article  PubMed  CAS  Google Scholar 

  25. Mathias J.L., Kent P.S.: Neuropsychological consequences of extreme weight loss and dietary restriction in patients with anorexia nervosa. J. Clin. Exp. Neuropsychol., 20, 548–564, 1998.

    Article  PubMed  CAS  Google Scholar 

  26. Thompson S.B.: Implications of neuropsychological test results of women in a new phase of anorexia nervosa. Eur. Eat. Dis. Rev., 1, 152–165, 1993.

    Article  Google Scholar 

  27. Cavedini P., Bassi T., Ubbiali A., Casolari A., Giordani S., Zorzi C., Bellodi L.: Neuropsychological investigation of decision-making in anorexia nervosa. Psychiatry Res., 127, 259–266, 2004.

    Article  PubMed  Google Scholar 

  28. Seed J.A., Dixon R.A., McCluskey S.E., Young A.H.: Basal activity of the hypothalamic-pituitary-adrenal axis and cognitive function in anorexia nervosa. Eur. Arch. Psychiatry Clin. Neurosci., 250, 11–15, 2000.

    Article  PubMed  CAS  Google Scholar 

  29. Green M.W., Elliman N.A., Wakeling A., Rogers P.J.: Cognitive functioning, weight change and therapy in anorexia nervosa. J. Psychiatr. Res., 30, 401–410 1996.

    Article  PubMed  CAS  Google Scholar 

  30. Szmukler G.I., Andrewes D., Kingston K., Chen L., Stargatt R., Stanley R.: Neuropsychological impairment in anorexia nervosa: before and after refeeding. J. Clin. Exp. Neuropsychol., 14, 347–352, 1992.

    Article  PubMed  CAS  Google Scholar 

  31. Hamsher K.S., Halmi K.A., Benton A.L.: Prediction of outcome in anorexia nervosa from neuropsychological status. Psychiatry Res., 4, 79–88, 1981.

    Article  Google Scholar 

  32. Gillberg C., Rastam M., Gillberg I.C.: Anorexia nervosa: physical health and neurodevelopment at 16 and 21 years. Dev. Med. Child Neurol., 36, 567–575, 1994.

    Article  PubMed  CAS  Google Scholar 

  33. Holliday J., Tchanturia K., Landau S., Collier D., Treasure J.: Is impaired set-shifting an endophenotype of anorexia nervosa? Am. J. Psychiatry, 162, 2269–2275, 2005.

    Article  PubMed  Google Scholar 

  34. Wentz E., Gillberg I.C., Gillberg C., Rastam M.: Tenyear follow-up of adolescent-onset anorexia nervosa: physical health and neurodevelopment. Dev. Med. Child Neurol., 42, 328–333, 2000.

    Article  PubMed  CAS  Google Scholar 

  35. Murphy R., Nutzinger D.O., Paul T., Leplow B.: Dissociated conditional-associative learning in anorexia nervosa. J. Clin. Exp. Neuropsychol., 24, 176–186, 2002.

    Article  PubMed  Google Scholar 

  36. Witt E.D., Ryan C., Hsu L.K.: Learning deficits in adolescents with anorexia nervosa. J. Nerv. Ment. Dis., 173, 182–184, 1985.

    Article  PubMed  CAS  Google Scholar 

  37. Chiappelli F., Gwirtsman H.E., Lowy M., Gormley G., Nguyen L.D., Nguyen L., Popow J., Esmail I., Fahey J.L., Strober M.: Pituitary-adrenal-immune system in normal subjects and in patients with anorexia nervosa: the number of circulating helper T lymphocytes (CD4) expressing the homing receptor Leu8 is regulated in part by pituitary-adrenal products. Psychoneuroendocrinology, 16, 423–432, 1991.

    Article  PubMed  CAS  Google Scholar 

  38. McElroy S.L., Kotwal R., Keck P.E., Jr., Akiskal H.S.: Comorbidity of bipolar and eating disorders: distinct or related disorders with shared dysregulations? J. Affect. Disord., 86, 107–127, 2005.

    Article  PubMed  Google Scholar 

  39. Strober M., Katz J.: Do eating disorders and affective disorders share a common etiology? A dissenting opinion. Int. J. Eat. Disord., 6, 171–180, 1987.

    Article  Google Scholar 

  40. Swift W.J., Andrews D., Barklage N.E.: The relationship between affective disorder and eating disorders: a review of the literature. Am. J. Psychiatry, 143, 290–299, 1986.

    PubMed  CAS  Google Scholar 

  41. Szmukler G.: Some comments on the link between anorexia nervosa and affective disorder. Int. J. Eat. Disord., 6, 181–189, 1987.

    Article  Google Scholar 

  42. Sabbe B., Hulstijn W., van Hoof J., Zitman F.: Fine motor retardation and depression. J. Psychiatr. Res., 30, 295–306, 1996.

    Article  PubMed  CAS  Google Scholar 

  43. Sabbe B., Hulstijn W., van Hoof J., Tuynman-Qua H.G., Zitman F.: Retardation in depression: assessment by means of simple motor tasks. J. Affect. Disord., 55, 39–44, 1999.

    Article  PubMed  CAS  Google Scholar 

  44. Pieters G., Sabbe B., Hulstijn W., Probst M., Vandereycken W., Peuskens J.: Fast psychomotor functioning in underweight anorexia nervosa patients. J. Psychiatr. Res., 37, 501–508, 2003.

    Article  PubMed  Google Scholar 

  45. Pieters G., Maas Y., Hulstijn W., Vandereycken W., Probst M., Peuskens J., Sabbe B.: Differentiation of cognitive and motor aspects in a digit symbol substitution test in Anorexia nervosa patients, before and after weight restoration. Psychopathology, 37, 227–232, 2004.

    Article  PubMed  Google Scholar 

  46. Pieters G., Hulstijn W., Vandereycken W., Maas Y., Probst M., Peuskens J., Sabbe B.: Fast psychomotor functioning in anorexia nervosa: effect of weight restoration. J. Clin. Exp. Neuropsychol., 27, 931–942, 2005.

    Article  PubMed  Google Scholar 

  47. Thomassen A., Tibosch H.: A quantative model of graphic production. In: Stelmach G.E., Requin J. (Eds.), Tutorials in Motor Neuroscience. Dordrecht, Kluwer, 1991, pp. 269–282.

    Chapter  Google Scholar 

  48. Vinter A.: Hierarchy among graphic production rules: a developmental approach. In: Faure C., Keuss P., Lorette G., Vinter A. (Eds.), Advances in handwriting & drawing: a multidisciplinary approach. Paris, Europia, 1993, pp. 275–291.

    Google Scholar 

  49. Thomassen A., Van Galen G.P.: Handwriting as a motor task: experimentation, modelling, and simulation. In: Summers J.J. (Ed.), Approaches to the study of motor control and learning. Amsterdam, Elsevier Science Publishers, 1992, pp. 113–144.

    Chapter  Google Scholar 

  50. Thomassen A., Meulenbroek R., Tibosch H.: Latencies and Kinematics Reflect Graphic Production Rules. Hum. Mov. Sci., 10, 271–289, 1991.

    Article  Google Scholar 

  51. Jogems-Kosterman B., Hulstijn W., van Hoof J., Thomassen A.: Is the planning of action in schizophrenic patients more impaired than in depressed patients? The effects of conflicting graphic production rules. In: Leedham C.G., Leung M., Sagar V., Xuhong X. (Eds.), Proceedings of the 9th Biennial Conference of the International Graphonomics Society. Singapore, NTU, 1999, pp. 225–229.

    Google Scholar 

  52. Hulstijn W., Jogems-Kosterman B., Wezenberg E., Sabbe B.: An evaluation of the use of figure-copying tasks in studies of planning deficits in schizophrenia. In: Meulenbroek R.G., Steenbergen B. (Eds.), Proceedings of the 10th biennial conference of the International Graphonomics Society. Nijmegen, IGS, 2001, pp. 46–51.

    Google Scholar 

  53. Jogems-Kosterman B.J., Hulstijn W., Wezenberg E., van Hoof J.: Movement planning deficits in schizophrenia: failure to inhibit automatic response tendencies. Cognit. Neuropsychiatry, 11, 47–64, 2006.

    Article  Google Scholar 

  54. Derogatis L.R.: SCL-90-R manual. Baltimore, Johns Hopkins University Press, 1977.

    Google Scholar 

  55. Beck A.T., Ward C.H., Mendelson M., Mock J., Erbaugh J.: An inventory for measuring depression. Arch. Gen. Psychiatry, 4, 561–571, 1961.

    Article  PubMed  CAS  Google Scholar 

  56. Garner D., Olmsted M., Polivy J.: Development and validation of a multidimensional eating disorder inventory for anorexia nervosa and bulimia. Int. J. Eat. Disord., 2, 15–34, 1983.

    Article  Google Scholar 

  57. Vandereycken W.: The Eating Disorder Evaluation Scale (EDES). Eating Disorders: The Journal of Treatment and Prevention., 1, 115–122, 1993.

    Article  Google Scholar 

  58. De Jong W.P., Hulstijn W., Kosterman B.J.M., Smits- Engelsman B.C.M.: OASIS software and its application in experimental handwriting research. In: Simner M.L., Leedham C.G., Thomassen, A.J.W.M. (Eds.), Handwriting and drawing research: Basic and applied issues. Amsterdam, IOS Press, 1996, pp. 429–440.

    Google Scholar 

  59. Kaye W.H., Frank G.K., Bailer U.F., Henry S.E.: Neurobiology of anorexia nervosa: clinical implications of alterations of the function of serotonin and other neuronal systems. Int. J. Eat. Disord., 37 Suppl, S15–S19, 2005.

    Article  PubMed  Google Scholar 

  60. Keilp J.G., Sackeim H.A., Mann J.J.: Correlates of trait impulsiveness in performance measures and neuropsychological tests. Psychiatry Res., 135, 191–201, 2005.

    Article  PubMed  Google Scholar 

  61. Strupp B.J., Weingartner H., Kaye W., Gwirtsman H.: Cognitive processing in anorexia nervosa. A disturbance in automatic information processing. Neuropsychobiology, 15, 89–94, 1986.

    Article  PubMed  CAS  Google Scholar 

  62. Southgate L., Tchanturia K., Treasure J.: Neuropsychological studies in eating disorders: a review. In: Swain P.I. (Ed.), Eating disorders: new research. Hauppauge, NY, Nova Science Publishers, 2005.

    Google Scholar 

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Authors and Affiliations

  1. University Center St-Jozef, Leuvensesteenweg 517, B-3070, Kortenberg, Belgium

    G. Pieters (Head of Department of Behavior Therapy), W. Vandereycken, J. Peuskens & M. Probst

  2. CAPRI (Collaborative Antwerp Psychiatric Research Institute), University of Antwerp, Belgium

    W. Hulstijn, Y. Maas & B. Sabbe

  3. NICI (Nijmegen Institute for Cognition and Information), University of Nijmegen, The Netherlands

    W. Hulstijn & B. Sabbe

  4. Psychology Department, Catholic University Leuven, Belgium

    W. Vandereycken

  5. Faculty of Physical Education and Physical Therapy, Catholic University Leuven, Belgium

    J. Peuskens & M. Probst

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  1. G. Pieters
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Pieters, G., Hulstijn, W., Maas, Y. et al. Psychomotor performance and sequence planning in anorexia nervosa before and after weight restoration. Eat Weight Disord 11, 154–162 (2006). https://doi.org/10.1007/BF03327561

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